A client arrives to the healthcare setting currently taking atorvastatin (Lipitor) daily. Which assessment finding associated with atorvastatin (Lipitor) would need immediate reporting to the healthcare provider?

bradycardia

elevated HDL cholesterol

migraine headache

dark-red urine

Answer and Explanation

The Correct Answer is D

A. Bradycardia is not a direct side effect of atorvastatin and may require further context for concern.

B. Elevated HDL cholesterol is a positive outcome of atorvastatin therapy and does not require reporting.

C. A migraine headache is not typically a direct side effect of atorvastatin but could warrant discussion if it affects the client's overall well-being.

D. Dark-red urine may indicate potential muscle breakdown (rhabdomyolysis) associated with atorvastatin and should be reported immediately due to the risk of kidney damage.

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Free Nursing Study Resources

Correct Answer is ["675"]

Explanation

To calculate the dosage of vancomycin, we first convert the client's weight from pounds to kilograms, knowing that 1 kilogram is approximately 2.2 pounds. The client weighs 198 pounds, which is equivalent to about 90 kilograms (198 lb / 2.2). The prescribed dose is 15 mg/kg/day, so for a 90 kg individual, this would be 1350 mg/day (15 mg/kg * 90 kg). Since the dose is divided equally every 12 hours, the nurse would administer half of the daily dose every 12 hours, resulting in 675 mg per dose (1350 mg/day / 2). Therefore, the nurse should administer 675 mg of vancomycin with each dose.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"D"}

Explanation

aPTT (Activated Partial Thromboplastin Time) is the primary lab test used to monitor the effectiveness of unfractionated heparin therapy. Heparin works by activating antithrombin III, which inhibits thrombin and factor Xa, thus prolonging the aPTT. Monitoring aPTT helps ensure that the heparin dose is therapeutic and reduces the risk of bleeding.

PT-INR (Prothrombin Time - International Normalized Ratio) is used to monitor patients on warfarin therapy. Warfarin inhibits vitamin K-dependent clotting factors, which affects the prothrombin time (PT). The INR standardizes PT results, allowing for consistent monitoring of anticoagulation status. It is critical to maintain the INR within the therapeutic range to balance the risk of thrombosis against the risk of bleeding.

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A client arrives to the healthcare setting currently taking atorvastatin (Lipitor) daily. Which assessment finding associated with atorvastatin (Lipitor) would need immediate reporting to the healthcare provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse prepares to administer vancomycin 15 mg/kg/day divided equally every 12 hr. The client weighs 198 lb. How many mg should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["675"]

Explanation

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"D"}

Explanation

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